Factors associated with the risk of violent behaviour in patients with acute mental disorders
10.11886/scjsws20210913001
- VernacularTitle:急性期精神障碍患者暴力风险的相关因素
- Author:
Fuxiang LAI
1
;
Xiaomin LIANG
1
;
Yarong MA
1
;
Jie ZHANG
1
;
Hongbo HE
1
Author Information
1. The Affiliated Brain Hospital of Guangzhou Medical University， Guangzhou 510370， China
- Publication Type:Journal Article
- Keywords:
Acute period;
Mental disorders;
Violence;
Influencing factors
- From:
Sichuan Mental Health
2022;35(2):149-152
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the factors associated with the risk of violent behaviour in inpatients with acute mental disorders， and to provide references for early detection and intervention of violent behaviour in patients with acute mental disorders. MethodsBased on the medical record system of the Affiliated Brain Hospital of Guangzhou Medical University， 1 107 inpatients with acute mental disorders from January to December 2016 were selected， all of whom met the diagnostic criteria of International Classification of Diseases， tenth edition （ICD-10）. At admission， the risk assessment tools were used to assess the risk level of violent behaviour of inpatients， and 8 variables containing general demographic data and clinical data were selected to explore the factors associated with the risk of violent behaviour in inpatients with acute mental disorders. Thereafter， Logistic regression analysis was performed to screen the factors affecting the high risk of violent behaviour among inpatients. ResultsAmong the 1 107 inpatients with acute mental disorders， 357 （32.25%） patients were at high risk of violence. Regression analysis showed that gender of male （OR=1.747， 95% CI： 1.303~2.342）， manic episodes （OR=2.018， 95% CI： 1.310~3.108） and emergency admission （OR=4.244， 95% CI： 3.083~5.840） were risk factors affecting the high risk of violent behaviour of inpatients. Among different types of mental disorders， patients with depressive disorder had a relatively low risk of violent behaviour （OR=0.397， 95% CI： 0.233~0.677）. ConclusionAmong inpatients with acute mental disorders， patients of emergency admission， being male and manic episodes are more likely to be at high risk of violent behaviour.
